Injury outcome among helmeted and non-helmeted motorcycle riders and passengers at a tertiary care hospital in north-western Tanzania

Chalya, Phillipo L; Ngayomela, I H; Mabula, Joseph B; Mbelenge, Nkinda; Dass, Ramesh M; Chandika, Alphonce B; Gilyoma, Japhet M; Kapesa, Anthony; Ngallaba, Sospatro E.

doi:10.4314/thrb.v16i4.4

Cited by 15 publications

(12 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, the mean age of victims was 35.6(12.7) years for cases and 36.7(12.1) years for controls. This founding is in line with previous studies, which found that the age of subjects involved in road crashes ranged from 25 to 35 years old and up to 38 years old (Tumwesigye et al 2016 ; Brown et al 2011 ; Tidjani et al 2018 ; Hode et al 2017 ; Lam et al 2019 ; Xiong et al 2016 ; Chalya et al 2014 ). As in our study, some previous studies did not found age associated with head injuries (Orsi et al 2014 ; Lam et al 2020 ; Walle et al 2018 ; Kamulegeya et al 2015 ).…”

Section: Discussionsupporting

confidence: 90%

“…Brown et al and Phillips et al observed in the USA that different lesions with intracranial trauma were significantly more present in subjects not wearing a helmet than in those who did (Brown et al 2011 ; Phillips et al 2017 ). For other authors, there was a relationship between injury severity (AIS) and helmet use (Baru et al 2019 ; Lam et al 2019 ; Xiong et al 2016 ; Chalya et al 2014 ), and not wearing a helmet would increase the risk of sustaining road traffic injuries (Tumwesigye et al 2016 ) or the risk of death from road crashes among motorcyclists (Chang et al 2016 ; Boniface et al 2016 ). According to Lam et al, head injuries are more likely to be associated with the use of non-standard helmets (Lam et al 2020 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study

et al. 2021

View full text Add to dashboard Cite

Background In Benin, motorcycles are the main means of transport for road users and are involved in more than half of crashes. This study aims to determine the effect of wearing a helmet on reducing head injuries in road crashes in Benin. Methods This case-control study took place in 2020 and focused on road trauma victims. The sample, consisting of 242 cases (trauma victims with head injuries) for 484 controls (without head injuries), was drawn from a database of traffic crash victims recruited from five hospitals across the country from July 2019 to January 2020. Four groups of independent variables were studied: socio-demographic and economic variables, history, behavioural variables including helmet use and road-related and environmental variables. To assess the shape of the association between the independent variables and the dependent variable, a descending step-by-step binary logistic regression model was performed using an explanatory approach. Results Fewer of the subjects with a head injury were wearing a helmet at the time of the crash 69.8% (95% CI = 63.6–75.6) compared to those without a head injury 90.3% (95% CI = 87.3–92.8). Adjusting for the other variables, subjects not wearing helmets were at greater risk of head injuries (OR = 3.8, 95% CI (2.5–5.7)); the head injury rating was 1.9 (95% CI = 1.2–3.3) times higher in subjects who were fatigued during the crash than among those who were not and 2.0 (95% CI = 1.2–3.3) times higher in subjects with no medical history. Conclusion Failure to wear a helmet exposes motorcyclists to the risk of head injuries during crashes. It is important to increase awareness and better target such initiatives at the subjects most at risk.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The motorcycle riders in this study were relatively young, which is consistent with the ndings of the WHO and several authors who have pointed out that young people are most affected by road tra c injuries (1, (18,19,26). Tumwesigye et al also noted in Kampala, Uganda, that more than half of motorcycle taxi drivers, among both the cases and controls, were between 25 and 34 years old (7).…”

Section: Driver Characteristicssupporting

confidence: 90%

“…Brown et al and Phillips et al observed in the USA that different lesions with intracranial trauma were signi cantly more present in subjects not wearing a helmet than in those who did (14,32). For other authors, there was a relationship between injury severity (AIS) and helmet use (24)(25)(26)33), and not wearing a helmet would increase the risk of sustaining road tra c injuries (7) or the risk of death from road accidents among motorcyclists (34,35).…”

Section: Factors Associated With Head Injuriesmentioning

confidence: 99%

Effect of Wearing a Helmet on the Occurrence of Head Injuries in Motorcycle Riders in Benin: A Cohort-nested Case-control Study

Santos¹,

Ahanhanzo²,

Kpozéhouen³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: In Benin, motorcycles are the main means of transport for road users and are involved in more than half of accidents. This study aims to determine the effect of wearing a helmet on reducing head injuries in road accidents in Benin.Methods: This cohort-nested case-control study took place in 2020 and focused on road trauma victims. The sample consisted of 242 cases for 484 controls. A logistic regression model was performed.Results: Fewer of the subjects with a head injury were wearing a helmet at the time of the accident 69.8% (95% CI = 63.6 - 75.6) compared to those without a head injury 90.3% (95% CI = 87.3 - 92.8). Adjusting for the other variables, subjects not wearing helmets were at greater risk of head injuries (OR = 3.8, 95% CI (2.5 - 5.7)); the head injury rating was 2.0 (95% CI = 1.2 - 3.2) times higher in subjects who were fatigued during the accident than among those who were not and 2.1 (95% CI = 1.2 - 3.3) times higher than in subjects with no medical history.Conclusion: Failure to wear a helmet exposes motorcyclists to the risk of head injuries during accidents. It is important to increase awareness and better target such initiatives at the subjects most at risk.

show abstract

“…Alcohol use has been studied among various populations in eastern Africa and has specifically shown to be a risk factor for road traffic injuries (Benegal et al, 2009; Boniface et al, 2016; Chalya et al, 2014; Staton et al, 2017), violence, physical abuse, and suicidal ideation. However, there is a lack of research on the age of first use, cost, and alcohol availability and their association with high‐risk alcohol behavior.…”

mentioning

confidence: 99%

Alcohol Availability, Cost, Age of First Drink, and Its Association with At‐Risk Alcohol Use in Moshi, Tanzania

Staton

Duan

Ginalis

et al. 2020

Alcoholism Clin & Exp Res

View full text Add to dashboard Cite

Background: The Kilimanjaro region has one of the highest levels of reported alcohol intake per capita in Tanzania. Age at first drink has been found to be associated with alcohol problems in adulthood, but there is less information on the age of first drink in the Kilimanjaro region and its associations with alcohol-related consequences later in life. Furthermore, local alcohol cost and availability may influence the prevalence of alcohol use and alcohol use disorders. Methods: Data on the age of first drink, alcohol use disorder identification tool (AUDIT), number and type of alcohol consequences (DrInC), and perceived alcohol at low cost and high availability for children and adolescents were collected from an alcohol and health behavior survey of injury patients (N = 242) in Moshi, Tanzania. Generalized linear models were used to test age at first drink, perceived alcohol cost and availability, and their association with the AUDIT and DrInC scores, and current alcohol use, respectively. Results: Consuming alcohol before age 18 was significantly associated with higher AUDIT and DrInC scores, with odds ratios of 1.22 (CI: 1.004, 1.47) and 1.72 (CI: 1.11, 2.63), respectively. Female gender is strongly associated with less alcohol use and alcohol consequences, represented by an odds ratio of 3.70 (CI: 1.72, 8.33) for an AUDIT score above 8 and an odds ratio of 3.84 (CI: 2.13, 6.67) with the DrInC score. Perceived high availability of alcohol for children is significantly related to higher alcohol use quantity, with the odds ratio of 1.6 (CI: 1.17, 2.20). Conclusions: The first use of alcohol before the age of 18 is associated with higher alcohol use and alcohol-related adverse consequences. In Tanzania, age at first drink is an important target for interventions aiming to prevent negative alcohol-related consequences later in life.

show abstract

Injury outcome among helmeted and non-helmeted motorcycle riders and passengers at a tertiary care hospital in north-western Tanzania

Cited by 15 publications

References 25 publications

Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study

Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study

Effect of Wearing a Helmet on the Occurrence of Head Injuries in Motorcycle Riders in Benin: A Cohort-nested Case-control Study

Alcohol Availability, Cost, Age of First Drink, and Its Association with At‐Risk Alcohol Use in Moshi, Tanzania

Contact Info

Product

Resources

About